Afghanistan Mortality Survey 2010 - Measure DHS

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mortality levels. The procedures used to assess the orphanhood data are described in detail in the UnitedNations Methods for Estimating Adult Mortality (UN, 2002) and the Manual X Indirect Techniques forDemographic Estimation (UN, 1983).The basic data and the results of the indirect estimates using the orphanhood (parental survival)method are given in Table 6.5. The dates of the estimates range from 1992 to 2005 for women and 1996and 2005 for men. Because men have older ages at birth than do women, estimates cannot be reliablycalculated based on the survival of fathers of persons age 40 and over.Table 6.5 Indirect estimation of adult mortalityBasic data and estimates of adult female and adult male mortality rates and life expectancy at age 5 years using theindirect orphanhood method, Afghanistan 2010Survival and mortality estimatesParentAge group Alive DeadProportionaliveDate ofestimate30 - 59( 35 q 30 )Probability of dying15 - 59( 45 q 15 )15 - 49( 35 q 15 )Lifeexpectancyat age 5 years(e 5 )FEMALE5-9 28,961 388 0.9868 2005.7 0.143 0.112 0.061 69.910-14 25,494 754 0.9713 2003.5 0.168 0.133 0.073 68.515-19 21,182 1,136 0.9491 2001.7 0.186 0.148 0.082 67.520-24 14,584 1,239 0.9217 2000.1 0.191 0.152 0.085 67.225-29 10,215 1,609 0.8639 1998.9 0.228 0.184 0.104 65.230-34 6,732 1,790 0.7900 1997.8 0.247 0.201 0.115 64.335-39 5,456 2,516 0.6844 1996.9 0.266 0.219 0.126 63.340-44 3,611 3,021 0.5445 1996.2 0.287 0.238 0.139 62.345-49 2,177 3,235 0.4023 1992.5 0.287 0.238 0.139 62.3MALE5-9 30,008 394 0.9870 2005.4 0.150 0.118 0.064 69.510-14 26,167 818 0.9697 2003.4 0.210 0.168 0.094 66.215-19 24,619 1,712 0.9350 2001.7 0.274 0.226 0.131 62.920-24 18,038 2,424 0.8815 2000.1 0.346 0.294 0.177 59.425-29 11,361 2,839 0.8001 1998.7 0.374 0.322 0.197 58.030-34 7,089 3,410 0.6752 1997.3 0.394 0.342 0.211 57.035-39 4,383 3,540 0.5532 1996.3 0.399 0.346 0.215 56.840-44 3,252 4,616 0.4133 na na na na na45-49 1,598 3,815 0.2953 na na na na nana = Not applicableNote: The mean age at birth used in the mortality estimates is 28.1 calculated from Table 3.1. Levels of estimates arebased on coefficients in Timaeus, 1992: pages 47-63, Table 2. Dating of estimates are based on Inited Nations,1983: page 104, Table 88.Figure 6.3 presents results of the indirect assessment of the parental survival data based onsurvival between age 15 and age 59 for both men and women. Though dates are imprecise with theorphanhood estimates, the figure shows rapidly declining mortality for both sexes since about the year1998 (circa 1377). The rapidity of the decline was greater between 1996 and 2000 (1375 and 1379 in theAfghan calendar) for women and between 2000 and 2006 (1379 and 1385 in the Afghan calendar) formen. Due to the nature of the method no estimates of mortality level are available beyond 2006 (1385 inthe Afghan calendar).112 | Adult Mortality
5.0Figure 6.3 Indirect Orphanhood-based Estimates of Adult MortalityAge 15-59 by Calendar Year and Sex, Afghanistan 20104.54.4 4.44.24.03.8Probability of dying per 1,0003.53.02.52.01.53.23.02.72.53.02.1 2.12.31.91.71.0Males0.5Females0.01995 1997 1999 2001 2003 2005 2007Calendar YearNote: The years 1995-2007 roughly correspond to the years1374-1386 in the Afghan calendar.6.3 LIFE TABLES AND LIFE EXPECTANCYA life table simulates the lifetime mortality experience of a population by taking that population’scurrent age-specific death rates and applying them to a hypothetical population of 100,000 people born atthe same period of time (a synthetic cohort). For each age group in the life table, deaths reduce thenumber of the hypothetical population until, in the last age group (80 years and more), all of the peopledie.Table 6.6 is a life table derived from the observed mortality experience in the AMS 2010 for thefive years prior to the survey. The columns on the left, including person-years and the number of deaths,contain information from the household death roster and the member roster and are used to produce thedeath rate at an interval of age, (denoted as n M x , where x is the beginning age of the age interval and n isthe width of the interval). The columns to the right are: the probability of dying in the age group of thepersons who survive to the beginning age of each age interval (denoted as n q x ); l x , the number of peoplesurviving to the beginning of each age interval, starting with 100,000 at birth; n d x , the number that diewithin each age interval; n L x , the total number of person-years lived within each age interval; and T x , thetotal number of years of life to be shared by the population in the age interval beginning with age x and inall subsequent intervals. This measure takes into account the frequency of deaths that occur in this and allsubsequent intervals. As age increases and the population of the cohort shrinks, the total person-years thatthe survivors have to live diminishes.An informative summary output from the life table is the last column, e x , which is life expectancyfrom age x. Life expectancy is the average number of years remaining for a person to live, at thebeginning age of the given age interval. Life expectancy at birth (denoted e 0 ) summarizes the mortality atall ages and is often taken as a measure of the overall quality of life. Table 6.6 shows that the lifeexpectancy at birth in Afghanistan for girls and boys born during the five years prior to the survey, isapproximately 64 years. Note that due to high neonatal mortality rates, life expectancy at one year of age(e 1 ) is higher than life expectancy at birth. This increase is very common since most deaths under age oneoccur in the early and late neonatal periods.Adult Mortality | 113
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AfghanistanMortality Survey 2010
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CONTENTSTABLES AND FIGURES ........
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4.3 Postnatal Care.................
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TABLES AND FIGURESCHAPTER 1INTRODUC
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Table 5.2 Early childhood mortality
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APPENDIX CDATA QUALITY TABLESTable
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AMS 2010 TECHNICAL ADVISORY GROUP M
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AMS 2010 CONTRIBUTORS TO THE REPORT
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INTRODUCTION 11.1 GEOGRAPHY, HISTOR
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After the fall of the communist reg
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Afghanistan, in cooperation with th
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workload of the BHC, up to two addi
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complete list of names of persons i
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1.7 QUESTIONNAIRESFour questionnair
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survey, a detailed review of the qu
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1.10 RESPONSE RATESTable 1.2 shows
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72 percent of the rural population
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Figure 2.1 Population Pyramid80 +75
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Table 2.3 Children’s orphanhood s
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Table 2.5 presents information on h
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Table 2.7 Household possessionsPerc
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emoteness, and the scores were summ
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The analysis also suggests that amo
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Central zone (56 percent) has the h
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The data also show that more than h
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2.10 CONCLUSIONThe AMS 2010 enumera
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3.1.2 Data Quality AssessmentThe pr
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more problematic for the estimates
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Table 3.2 Fertility by background c
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Another frequently used approach to
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3.2.6 Birth IntervalsA birth interv
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3.2.7 Age at First BirthThe onset o
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Table 3.9 Teenage pregnancy and mot
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Table 3.11 Age at first marriagePer
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the community level by utilizing al
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difference may be due to difference
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There are substantial differences i
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Table 3.17 Total fertility rate and
Page 85 and 86: MATERNAL HEALTH 4Afghanistan is com
Page 87 and 88: Table 4.1 Antenatal carePercent dis
Page 89 and 90: Figure 4.2 Trends in Antenatal Care
Page 91 and 92: 4.1.3 Problems with Pregnancy at Fi
Page 93 and 94: 4.1.4 Number and Timing of Antenata
Page 95 and 96: About one-third (32 percent) of mot
Page 97 and 98: As with other maternal health indic
Page 99 and 100: Table 4.8 Reasons for not deliverin
Page 101 and 102: Table 4.9 Assistance during deliver
Page 103 and 104: 4.2.4 Procedures Performed at Deliv
Page 105 and 106: Figure 4.6 Reasons for Not Seeking
Page 107 and 108: Table 4.12 presents information on
Page 109 and 110: Table 4.13 Problems in accessing he
Page 111 and 112: INFANT AND CHILD MORTALITY 5Early c
Page 113 and 114: first seven days of life, to estima
Page 115 and 116: In considering the mortality trends
Page 117 and 118: data was found in Afghanistan exclu
Page 119 and 120: Central zone and 32 percent in the
Page 121 and 122: Table 5.4 Early childhood mortality
Page 123 and 124: The patterns of perinatal mortality
Page 125: problem for areas outside the South
Page 128 and 129: information was usually reported by
Page 130 and 131: fallen from 118 deaths to 71 deaths
Page 132 and 133: Table 6.4 shows adult mortality rat
Page 136 and 137: Table 6.6 Female and male life tabl
Page 138 and 139: Table 6.7 Mean sibship size and sex
Page 140 and 141: 6.4.2 Household ReportingIn the Hou
Page 142 and 143: The unexpectedly low crude death ra
Page 144 and 145: Figure 6.8.2 Estimates of Female Ad
Page 146 and 147: The third panel estimates life expe
Page 148 and 149: Maternal mortality in Afghanistan i
Page 150 and 151: other words, about two in five deat
Page 152 and 153: It is useful to compare the seven-y
Page 154 and 155: 50PercentFigure 7.1Timing of Pregna
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Page 158 and 159: The VA interview started by checkin
Page 160 and 161: Figure 8.1 Causes of Female and Mal
Page 162 and 163: Table 8.4 Causes of deaths among ch
Page 164 and 165: Global Agricultural Information Net
Page 166 and 167: Streatfield, P.K., S.E. Arifeen, A.
Page 168 and 169: • The Cluster Level Questionnaire
Page 170 and 171: A.3 STRUCTURE OF THE SAMPLE AND THE
Page 172 and 173: ased on sampling probabilities sepa
Page 175 and 176: ESTIMATES OF SAMPLING ERRORSAppendi
Page 177 and 178: For the total sample, the value of
Page 179 and 180: Table B.3 Sampling errors for Urban
Page 181 and 182: Table B.5 Sampling errors for North
Page 183 and 184: Table B.7 Sampling errors for South
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Table B.9 Sampling errors for North
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Table B.11 Sampling errors for Cent
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Table B.13 Sampling errors for East
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Table B.15 Sampling errors for Sout
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Table C.2 Myers’ Blended IndexPre
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Table C.5 Births by calendar years
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Table C.6 Reporting of age at death
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Table C.9 Sex ratio of live birthsS
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mother and the household. The morta
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The estimated infant mortality rate
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D.3.1 Evidence of Underreporting of
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Given the apparent omission of livi
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totally consistent with the estimat
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Perhaps a more sensitive indicator
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Figure D.6 Neonatal and Postneonata
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PERSONS INVOLVED IN AMS 2010Appendi
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Office EditorsMaleMohammad NaseemFe
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AshiqullahAssadullah JavedAtiqullah
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QUESTIONNAIRESAppendix FAppendix F
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Introduction and ConsentHello. My n
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SECTION 2. MIGRATION FROM HOUSEHOLD
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SECTION 4. INPATIENT HEALTH EXPENDI
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SECTION 5. OUTPATIENT HEALTH EXPEND
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SECTION 6. HOUSEHOLD CHARACTERISTIC
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NO. QUESTIONS AND FILTERS CODING CA
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SECTION 2. MARITAL STATUSNO.201QUES
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Now I would like to record the name
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SECTION 4. ANTENATAL, DELIVERY AND
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SECTION 6. MATERNAL MORTALITYNO. QU
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COMMENTS ABOUT RESPONDENT:INTERVIEW
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DEATH OF A CHILD AGED 0-28 DAYSSECT
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SECTION 6. DELIVERY HISTORYNO. QUES
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AFGHANISTAN MORTALITY SURVEYVERBAL
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DEATH OF A CHILD AGED 29 DAYS TO 11
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401 Could you tell me about the ill
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DEATH OF A PERSON AGED 12 YEARS AND
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